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Patient - Jane Hyland Type of Insanity – Melancholia Jane Hyland was born on 22nd October 1829, and was baptised a month later at All Saints with St Johns Baptist Church, in Huntingdon. Her Irish father, William worked as a gardener and died in 1846, when Jane was just seventeen. With seven other children for her mother, Susannah, to look after, money would have been hard to come by. Those children of working age would have been expected to go out to work and help support the family. Jane, like other girls of her class, went into domestic service. When she was first admitted to the Bedford Asylum, on May 3rd 1849, aged just nineteen, she was listed as a servant and suffering from Melancholia with no known cause. But Jane was in good health. She was kept at Bedford Asylum for five years before she was discharged, recovered, on 11th July 1854. Jane’s recovery was to not to last long, as she was admitted back to Bedford Asylum less than a year later, on 1st July 1855. Again, Jane was suffering from melancholia, with this attack having lasted two days. Her recovery was much quicker this time with only forty-six days needed for her to be discharged, recovered, on 6th August of the same year. Less than two years later, Jane was readmitted to Bedford Asylum for the final time, on 7th February 1857. Once more, Jane suffered from Melancholia, this attack lasted two weeks before she was admitted. When Jane was transferred to the Three Counties she was listed as being aged thirty, single and was last working as a domestic servant. Her general health was described as good with her mental disease now changed to mania with attacks of hysteria. Jane had become violent and destructive and had been insane for the last three years. Hysteria was classed as a woman’s problem, with symptoms differing from patient to patient, but they included faintness, nervousness, insomnia, fluid retention, chronic anxiety, nervousness and heaviness in the abdomen. Patients may suffer from emotional outbursts and various urges of the sexual variety. They may also suffer loss of appetite for food and sometimes sex, and have a tendency to cause trouble. It was thought hysteria was caused by movement of the womb. Treatment during attacks included bed rest, bland food and mercury known as calomel, which was a highly toxic medicine that would keep the patient in an induced state of nausea, (this was said to keep the violent episodes to a minimum), cold baths, seclusion and leeches that would be placed on the labia or massage to the genital area until orgasm, which was said to relieve the attack. The first medical examination we have in Jane’s notes are for the 7th January 1865, when she was described as being subjected to hysterical attacks, but was not violent with her general health was good. In October, her general health was still described as being good and her mental health was much more manageable. She remained about the same until December 1871. It was then that she wa